Healthcare Administrator

ReWorks Solutions

Healthcare Administrator responsible for verifying provider qualifications and managing insurance network enrolments. Ensuring compliance with regulatory standards and effective onboarding of healthcare providers.

Posted 7/15/2026full-timeRemote • 🇿🇦 South AfricaMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare provider credentialing and enrollment processes, ensuring compliance with regulatory standards and maintaining accurate documentation. Proficient in managing provider records and facilitating communication between healthcare providers and regulatory bodies.

Highest-signal resume keywords

Healthcare CredentialingProvider EnrollmentRegulatory ComplianceAttention to DetailMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider CredentialingHealthcare ComplianceMedical Staff ServicesProvider OnboardingLicense VerificationApplication SubmissionAudit ManagementDocumentation ManagementExpiration TrackingEnrolment Process Management

Soft Skills

Organizational SkillsWritten CommunicationVerbal CommunicationTime ManagementProblem-Solving

Industry Keywords

Healthcare AdministrationMedical Licensing BoardsCredentialing OrganizationsInsurance ProvidersHealthcare Privacy Regulations

About the role

Key responsibilities & impact

Perform primary source verification of healthcare provider licenses, medical degrees, certifications, training, and professional credentials.
Verify provider eligibility with licensing boards, regulatory authorities, and credentialing organizations.
Ensure all credentialing documentation is complete, accurate, and compliant with regulatory and organizational requirements.
Monitor license, certification, and registration expiration dates and coordinate timely renewals.
Prepare, complete, and submit provider enrolment applications to private medical insurance networks and government healthcare programs.
Manage provider identification numbers and government health registry listings.
Track enrolment applications from submission through approval and resolve any outstanding requirements.
Work proactively to prevent enrolment delays that may impact provider billing or reimbursement.
Maintain accurate and confidential electronic and physical provider credentialing files.
Ensure all provider records remain current and compliant with internal policies and external regulatory standards.
Conduct regular audits of provider files to ensure completeness and accuracy.
Maintain documentation in accordance with healthcare privacy and compliance regulations.
Guide healthcare providers through the credentialing and onboarding process, ensuring all required documentation is submitted.
Serve as the primary point of contact between healthcare providers, medical licensing boards, insurance companies, and credentialing organizations.
Respond to credentialing and enrolment queries in a professional and timely manner. Provide regular progress updates to hospital leadership, human resources, and other internal stakeholders.

Requirements

What you’ll need

Previous experience in healthcare administration, provider credentialing, provider enrollment, medical staff services, or healthcare compliance.
Strong understanding of healthcare credentialing and provider onboarding processes.
Experience working with medical licensing boards, regulatory authorities, or insurance providers.
Excellent attention to detail and organizational skills.
Strong written and verbal communication skills.
Ability to manage multiple priorities while meeting deadlines.
Proficiency in Microsoft Office (Word, Excel, Outlook).

Benefits

Comp & perks

Comfortable working U.S. hours
Remote work from home